Kunieda K, Yasuda K, Hashimoto T, Shiroko T, Azuma S, Furuta T, Saji S, Shimokawa K
2nd Dept. of Surgery, Gifu Univ. School of Med.
Gan No Rinsho. 1990 Apr;36(5):657-62.
Two rare cases of a primary, diffusely infiltrating carcinoma (linitis plastica) of the colon are reported. Case 1: In a 54-year-old male complaining of constipation and bloody stool, stenosis in the lower rectum was detected. He was diagnosed as having rectal cancer and rectal amputation with R3 lymphadenectomy was performed. The histological diagnosis was a signet ring cell carcinoma (a2, n2(+), Ho, Po stage IV). The patient died of multiple metastasis on the 318th postoperative day. Case 2: In a 29-year-old male complaining of a lower left abdominal pain, a circular stenosis of 7.5 cm in length in the descending colon, with Schnitzler's metastasis, was found. In spite of the advanced stage, a palliative colectomy was performed. A circular thickness of the wall was noted macroscopically, and the histological diagnosis was signet ring cell carcinoma, (s, n4(+), Ho, Po, stage V). The patient died of multiple metastasis on the 25th postoperative day.
报告了两例罕见的原发性弥漫浸润性结肠癌（皮革胃）病例。病例1：一名54岁男性，主诉便秘和便血，检查发现直肠下段狭窄。他被诊断为直肠癌，并接受了直肠癌切除术及R3淋巴结清扫术。组织学诊断为印戒细胞癌（a2，n2(+)，Ho，Po分期IV期）。患者术后第318天死于多处转移。病例2：一名29岁男性，主诉左下腹疼痛，发现降结肠有一段7.5厘米长的环形狭窄，并伴有施尼茨勒转移。尽管处于晚期，仍进行了姑息性结肠切除术。肉眼可见肠壁环形增厚，组织学诊断为印戒细胞癌（s，n4(+)，Ho，Po，V期）。患者术后第25天死于多处转移。
